What is the primary purpose of the client record?
Give this one a try later!
Communication
In which situation would the SBAR technique of communication be most appropriate?
,Give this one a try later!
A nurse is calling a physician to report a client's new onset of chest pain.
A nurse is caring for a client with bruises on her face and arms. Her partner refuses to
leave the client's bedside and answers all of the questions for the client. Which
intervention by the nurse would be most appropriate?
Give this one a try later!
Collaborate with the physician to make a referral to social services.
The new nurse is having difficulty managing the time required to care for a group of
complex clients and is several hours behind in completing nursing interventions.
Which intervention should the nurse complete first
Give this one a try later!
Administer a dose of digoxin that is two hours behind schedule.
A nursing instructor is teaching students about fetal presentations during birth. The
most common cause for increased incidence of shoulder dystocia is:
Give this one a try later!
increasing birth weight.
,A registered nurse is delegating activities to unlicensed assistive personnel (UAP) on a
hospital unit. Which activities could this nurse normally delegate? Select all that apply.
Give this one a try later!
Giving a bed bath to a client
Taking routine vital signs
Transferring a client to another floor
A nurse is caring for a client with acute pyelonephritis. Which nursing intervention is
the most important?
Give this one a try later!
increasing fluid intake to 3 L/day
The registered nurse (RN) and unlicensed assistive personnel (UAP) are working
together to admit a pediatric client to a nursing unit. Which task would be
inappropriate for the RN to delegate to the UAP?
Give this one a try later!
Initiating intravenous therapy
A triage team is assessing a client to determine if reported chest pain is a
manifestation of angina pectoris or an MI. The nurse knows that a primary distinction
of angina pain is?
, Give this one a try later!
Relieved by rest and nitroglycerin
The LPN is collaborating with the RN in developing a plan of care for a new client.
Which description of nursing roles best describes the LPN’s contribution to the plan?
Give this one a try later!
Data gathering, identification of client strengths, and assurance of client
safety during the assessment phase
The client with blindness is hospitalized following a myocardial infarction. Which care
measures would the nurse take with this client? Select all that apply.
Give this one a try later!
Identify self when walking into the client's room.
Orient the client to the room using a clock reference.
State when the nurse is leaving the room
The client is being discharged to the home setting following a stroke. The client
requires assistance in relearning how to cook safely. To which home health care team
member should the nurse refer the client?
Give this one a try later!
Give this one a try later!
Communication
In which situation would the SBAR technique of communication be most appropriate?
,Give this one a try later!
A nurse is calling a physician to report a client's new onset of chest pain.
A nurse is caring for a client with bruises on her face and arms. Her partner refuses to
leave the client's bedside and answers all of the questions for the client. Which
intervention by the nurse would be most appropriate?
Give this one a try later!
Collaborate with the physician to make a referral to social services.
The new nurse is having difficulty managing the time required to care for a group of
complex clients and is several hours behind in completing nursing interventions.
Which intervention should the nurse complete first
Give this one a try later!
Administer a dose of digoxin that is two hours behind schedule.
A nursing instructor is teaching students about fetal presentations during birth. The
most common cause for increased incidence of shoulder dystocia is:
Give this one a try later!
increasing birth weight.
,A registered nurse is delegating activities to unlicensed assistive personnel (UAP) on a
hospital unit. Which activities could this nurse normally delegate? Select all that apply.
Give this one a try later!
Giving a bed bath to a client
Taking routine vital signs
Transferring a client to another floor
A nurse is caring for a client with acute pyelonephritis. Which nursing intervention is
the most important?
Give this one a try later!
increasing fluid intake to 3 L/day
The registered nurse (RN) and unlicensed assistive personnel (UAP) are working
together to admit a pediatric client to a nursing unit. Which task would be
inappropriate for the RN to delegate to the UAP?
Give this one a try later!
Initiating intravenous therapy
A triage team is assessing a client to determine if reported chest pain is a
manifestation of angina pectoris or an MI. The nurse knows that a primary distinction
of angina pain is?
, Give this one a try later!
Relieved by rest and nitroglycerin
The LPN is collaborating with the RN in developing a plan of care for a new client.
Which description of nursing roles best describes the LPN’s contribution to the plan?
Give this one a try later!
Data gathering, identification of client strengths, and assurance of client
safety during the assessment phase
The client with blindness is hospitalized following a myocardial infarction. Which care
measures would the nurse take with this client? Select all that apply.
Give this one a try later!
Identify self when walking into the client's room.
Orient the client to the room using a clock reference.
State when the nurse is leaving the room
The client is being discharged to the home setting following a stroke. The client
requires assistance in relearning how to cook safely. To which home health care team
member should the nurse refer the client?
Give this one a try later!
